NPIMap

Individual provider Active NPI

Ayman Salah Al-Hakim, MD

  • Hematology & Oncology Physician
  • Griffin, GA
National Provider Identifier
1447313085
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
023012 Issued in GA
Practice address
747 S. 8TH Street
Suite C
Griffin, GA 30224-4880
Phone
(770) 228-1767
Fax
(770) 228-7562
NPI assigned
Dec 18, 2006
Last updated
Aug 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 023012 GA Primary

Addresses

Primary practice location

747 S. 8TH Street
Suite C
Griffin, GA 30224-4880

Mailing address

1835 Savoy Dr 300
Atlanta, GA 30341-1071
Phone (770) 228-1767

Other identifiers 4

IdentifierTypeStateIssuer
000234693GMedicaidGA
202I835650OtherGAMEDICARE PTAN
000234693PMedicaidGA
000234693QMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ayman.alhakimmd.p1@direct.gacancer.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070206000499 GA Practitioner - Hematology/Oncology 3476555392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

747 S 8TH St
Suite C
Griffin, GA 30224-4884
Phone (770) 228-1767

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.19 of 100Reported as group
Quality
69.24
Improvement activities
40
Cost
51.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
023012GAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Oncology Hematology & Oncology CurrentSince Jul 1, 2013 Accepting new patients
NSH Cancer Institute Professional Services G, LLC Hematology & Oncology CurrentSince Oct 1, 2015 Accepting new patients
NSH Cancer Institute Professional Services G LLC CurrentSince Oct 1, 2015 Accepting new patients
NSH Cancer Institute Professional Services G, LLC Hematology & Oncology Past Accepting new patients
Dublin Hematology Oncology Care PC Past Accepting new patients
Guiding Light Healthcare Services Past Accepting new patients

Locations

1835 Savoy Dr
Ste 300
Atlanta, GA 30341
Phone (678) 288-9555

747 S 8th St
Ste C
Griffin, GA 30224
Phone (770) 228-0788

1045 Southcrest Dr
Ste 200
Stockbridge, GA 30281
Phone (678) 289-0549

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1447313085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 SAVOY DR 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411071",
            "telephone_number": "770-228-1767",
            "fax_number": "770-228-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 S. 8TH STREET",
            "address_2": "SUITE C",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244880",
            "telephone_number": "770-228-1767",
            "fax_number": "770-228-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-HAKIM",
        "first_name": "AYMAN",
        "middle_name": "SALAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "023012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000234693G",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I835650",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000234693P",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000234693Q",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ayman.alhakimmd.p1@direct.gacancer.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "747 S. 8TH STREET",
            "address_2": "SUITE C",
            "city": "GRIFFIN",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302244880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.